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Designing natural beauty with trust.

I am Masataka Fujihashi, a board-certified plastic surgeon.

 

 

In previous articles, we explained that the essence of bear treatment lies in addressing both "bulges" and "hollows," and discussed the advantages and disadvantages of the Hamra method.

Starting this time, we'll be talking about fat grafting.

In Part 1, What is fat grafting? How do Condensed Rich Fat and Nano Fat differ? We will focus on the fundamental aspects.

Fat grafting is a very important treatment option for dark circles, yet few people fully understand how it works.

What kind of fat to inject, into which layer, and how to do it—

Understanding this alone makes it very clear who is suitable for fat grafting and who is not, as well as the differences from the Hamra method.

 

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■ What is fat transfer?

Fat grafting is a procedure in whichThighA treatment that involves harvesting fat from areas such as the abdomen or hips and transplanting it to sunken areas of the face to restore volume.is.

 

The primary cause of hollows is skeletal indentation or lack of volume, which is one factor that makes shadows appear more pronounced.

Therefore, simply removing the bulge (fat removal) is insufficient for improvement,Treatment to fill in depressionswill be required.

However, the fat as harvested,Blood / Anesthetic solution fiber Containing high levels of impurities such as these, direct injection results in low engraftment rates and a higher risk of lumps.

What becomes indispensable there is Condensed Rich Fat (CRF) Processingis.

 

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■ What is Condensed Rich Fat (CRF)?

CRF is a process performed using specialized machinery.Remove impurities,High survival rate, extracted only from concentrated “high-quality fat”refers to the following.

The features are as follows.

• Low in fiber and moisture,Low risk of lumps

• Due to its high purityHigh engraftment rate

• Ideal for thoroughly filling the base of depressions

In bear treatment,primarilyA deep layer to fill the bottom of the depressionfor useI will do so.

However,Applying too much can cause lumps.Therefore, it is important to carefully add the appropriate amount in small increments.

 

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■ What is Nanofat?

Nanofat is condensed fat.Further emulsify into a finer consistency,It can be safely injected into the superficial layer just beneath the skin and orbicularis oculi muscle.ultra-fine fatis.

The following features are available.

• The particles are extremely fine,Even when placed on the surface, it is less likely to form lumps.

• Can be injected directly beneath thin skin where hyaluronic acid is difficult to use

• Causes of dark circles under the eyes“Compensates for thin skin and softens color tonescan be expected

In particular, when hyaluronic acid is injected into the superficial layer, it tends to cause the Tyndall effect (appearing bluish-white) in this zone,With Nano Fat, you can achieve improvement without that risk.

However, nanofat is even morelow engraftment rate、When the goal is to improve skin tone, injections may be administered in 2 to 3 separate sessions.

 

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■ Summary

• Deep indentation → Replenish thoroughly with Condense

• Thinness and bluish tint of the surface → Enhance texture with nano-fat

• Fat containing impurities has a low engraftment rate, so processing is always required.

• Fat grafting is an important treatment option for bear-shaped hollows.

 

In Part 1, we covered the fundamentals of fat grafting itself.

In Part 2, we will explain in greater detail the differences between the Hamra method and fat grafting, and who fat grafting is suitable for.

 

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Reservations can be made here.

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【Profile】

Masataka Fujihashi, MD, Plastic Surgeon

Leveraging expertise as a board-certified plastic surgeon, I offer comprehensive facial cosmetic procedures including eyelid and nose surgery, facial liposuction, thread lifts, and hyaluronic acid injections. From incisional surgeries and revision procedures requiring delicate design to minimally invasive injections and lifts with minimal downtime, I strive to provide treatments tailored to each patient's ideal outcome.

We are dedicated to achieving natural results and minimizing downtime, pursuing medical care that leaves you feeling confident in your choice through sincere consultations.

Designing natural beauty with trust.

We cherish that sentiment and apply it to our daily practice.

 

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【Career】

March 2015: Graduated from the School of Medicine, Showa University

April 2015 Showa University Yokohama Northern Hospital Initial Clinical Training

April 2017 Showa University Hospital Department of Plastic Surgery

October 2017 Maebashi Red Cross Hospital Plastic Surgery / Cosmetic Surgery

April 2019 Nishio Municipal Hospital Plastic Surgery Department

April 2020 Showa University Fujigaoka Hospital Plastic Surgery Department

November 2020 Ota Nishinouchi Hospital Plastic Surgery / Cosmetic Surgery

July 2022 Tokyo Rosai Hospital Plastic Surgery / Cosmetic Surgery  Department Head

July 2022: R.O.clinic (Part-time), Kusano Taro Clinic (Part-time)

April 2024 Deputy Director, Ginza TA Clinic

November 2025 BIANCA CLINIC

 

【Professional Affiliations and Qualifications】

Japanese Society of Plastic and Reconstructive Surgery Board-Certified Plastic Surgeon

Member of the Japanese Society of Aesthetic Plastic Surgery (JSAPS)

Member of the Japanese Society of Aesthetic Surgery (JSAS)